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MISS SHIRLEY VERNETHA WILLIS III REGISTERED NURSE
NPI 1285929620
Registered Nurse in Blue Island, IL

Active since June 14, 2011
13136 WESTERN AVE, BLUE ISLAND, IL 60406(708) 974-5800(708) 371-0466 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Shirley Vernetha Willis Iii Registered Nurse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS SHIRLEY VERNETHA WILLIS III REGISTERED NURSE (NPI 1285929620) is an individual registered nurse in Blue Island, Illinois, licensed in Illinois (041-161525) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1285929620
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMISS SHIRLEY VERNETHA WILLIS IIICredential: REGISTERED NURSE
Location Address13136 WESTERN AVEBlue Island, IL 60406-2423
Mailing Address13136 Western AveBlue Island, IL 60406-2423 · (708) 974-5800 · Fax (708) 371-0466
Phone(708) 974-5800
Fax(708) 371-0466
Sole ProprietorNo
Enumeration DateJune 14, 2011
Last NPPES UpdateJune 23, 2011
✔ NPI 1285929620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in IL · 041-161525
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
13136 WESTERN AVE, Blue Island, IL 60406
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BELINDA CHILDS
Case Manager/Care Coordinator
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5800
BRIANA E WRIGHT LSW
Social Worker
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5800
NICOLE FRAZIER
Counselor (Mental Health)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5827
ANDREA R. BOYD MA, QMHP
Counselor (Mental Health)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5823
MELISSA COLEMAN
Counselor (Mental Health)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5849
MS. JULIET ANN RUSSOM WALDEN BS, AM, LSCW
Social Worker (Clinical)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5800
MR. LOUIS VOLPI III C.R.S.S.
Counselor (Mental Health)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5800
ANTHONY WEST
Case Manager/Care Coordinator
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Willis's NPI number?

The NPI number for Shirley Willis is 1285929620. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Shirley Willis located?

Shirley Willis practices at 13136 Western Ave, Blue Island, IL 60406. The listed phone number is (708) 974-5800.

What is Shirley Willis's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Shirley Willis was last updated on June 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.